Analysis of Speech Pathologic Evaluation for Children With Ankyloglossia

Lee, Ju Kyung; Kim, Young Bin; Leem, Dae Ho; Baek, Jin A; Shin, Hyo Keun; Ko, Seung O

Abstract

There is close relationship between intraoral structual anomaly and speech functional problem. Patient with cleft & ankyloglossia is a typical example, patients with structual anomaly is repaired toward normal structure by operation. Ankyloglossia may cause functional limitation even after adequate surgical treatment speech disorders being one of them. Interindividually, they vary a lot, showing typical articulation specifics. The objective of this study was to evaluate and compare speech for children with ankyloglossia and general public, to determine whether ankyloglossia is associated with articulation problem. We wanted to present criteria for indication of frenectomy. The group of subject is composed of 10 childrens with ankyloglossia and articulation problem, visited the Oral and Maxillofacial surgical unit, dental hospital, Chonbuk university. The average age is 5 Y 7M, M : F ratio is 8 : 2 at the time of speech test. Control group is composed of 10 members without oral structural anomaly. The average age is 5 Y 10M, M : F ratio is 3 : 7 at the time of speech test. Outcomes were mearsured the PPVT(Peabody Picture Vocabulary Test), PCAT(Picture Consonant Articulation Test), Nasometer 2 test result obtained each group, statistically measured by Mann-whitneys U Test. There was no difference for chronological age age equivalent between two group. There was significant difference for consonant accuracy between two group, showed more lower scores in subject group. There was more consonant error in subject group, mostly showed / l /, / s /. A major modality of consonant error was mostly distortion and replacement. There was no significant difference between two group for nasality.